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Recent News: Healthcare Professionals Alerted to Reported Medication Errors Between TOPAMAX®(topiramate) Tablets and TOPROL-XL® (metroprolol succinate) extended-release tablets

For pharmacists, Ortho-McNeil Neurologics, Inc., offers these suggestions to help reduce the potential for future errors:

  • Place TOPAMAX® and TOPROL-XL® apart from one another on the pharmacy shelf; we advise using the downloadable "shelf talker" (if applicable).
  • Confirm the brand and generic names prescribed on written and oral prescriptions.
  • Use both the brand and generic names when communicating the drug names within the pharmacy.
  • Counsel patients about the brand name, indication and proper use of each medication.

For drug database content providers, Ortho-McNeil Neurologics, Inc., suggests these error-reduction tactics:

  • Install sound-alike/look-alike name-alert warnings for the name-pair confusion between TOPAMAX and TOPROL-XL.
  • Use “tall man” lettering to highlight the end of each name—that is, topAMAX and topROL-XL.
  • Avoid the use of confusing drug mnemonics such as "TOP".
  • Use both the brand and generic names when communicating the drug names.